Music Therapy During Basic Daily Care in Critically Ill Children: A Randomized Crossover Clinical Trial
Mounier S, Cambonie G, Baleine J, Le Roux M, Bringuier S, Milési C
The Journal of pediatrics · 5 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2023-09-16 · J Pediatr · vol. 264 · pág. 113736
- Editorial
- Elsevier BV
- Citado
- 10 citas · más que el 91% de estudios similares · 2.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 42 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Music Therapy and Health · Pediatric Pain Management Techniques · Music Education and Analysis
- Palabras clave
- music therapy, critically ill children, pediatric intensive care, FLACC score, analgesia, heart rate, sedation, analgesic use, procedural pain
- MeSH
- humans, pain, critical illness, pain measurement, music therapy, crying, child
6 autores
- Sophie Mounier🇫🇷Université de Montpellier; Hôpital Arnaud de Villeneuve
- Gilles Cambonie🇫🇷 · autor de correspondenciaInserm; Université de Montpellier; Centre Hospitalier Universitaire de Montpellier; Hôpital Arnaud de Villeneuve; Pathogenesis and Control of Chronic and Emerging Infections
- Julien Frederic Baleine🇫🇷Université de Montpellier; Hôpital Arnaud de Villeneuve
- Manon Le Roux🇫🇷Université de Montpellier; Hôpital Arnaud de Villeneuve
- Sophie Bringuier🇫🇷Université de Montpellier; Centre Hospitalier Universitaire de Montpellier; Hôpital Lapeyronie; Institut Universitaire de Recherche Clinique; Institut Desbrest d'Epidémiologie et de Santé Publique
- Christophe Milési🇫🇷Université de Montpellier; Hôpital Arnaud de Villeneuve
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To assess whether music therapy (MT) is effective to reduce pain during daily personal hygiene care (DPHC), a procedure performed in all patients in a pediatric intensive care unit.
Methods
Fifty critically ill children were enrolled in a crossover controlled clinical trial with random ordering of the intervention, that is, passive MT, and standard conditions, and blind assessment of pain on film recordings. The primary outcome was variation of the Face Legs Activity Cry Consolability (FLACC) score (range, 0-10) comparing before and during DPHC. Secondary outcomes were changes in heart rate, respiratory rate, and mean arterial blood pressure, and administration of analgesic or sedative drugs during DPHC. Mixed-effects linear model analysis was used to assess effect size (95% CI).
Results
The median (Q25-Q75) age and weight of the patients were 3.5 years (1.0-7.6 years) and 15.0 kg (10.0-26.8 kg). Consecutive DPHC were assessed on days 3 (2-5) and 4 (3-7) of hospitalization. In standard conditions, FLACC score was 0.0 (0.0-3.0) at baseline and 3.0 (1.0-5.5) during DPHC. With MT, these values were, respectively, 0.0 (0.0-1.0) and 2.0 (0.5-4.0). Rates of FLACC scores of >4 during DPHC, which indicates severe pain, were 42% in standard conditions and 17% with MT (P = .013). Mixed-effects model analysis found smaller increases in FLACC scores (-0.54 [-1.08 to -0.01]; P = .04) and heart rate (-9.00; [-14.53; -3.40]; P = .001) with MT.
Conclusions
MT is effective to improve analgesia in critically ill children exposed to DPHC.
Trial registration
This study was recorded (April 16, 2019) before patient recruitment on the National Library of Medicine registry (NCT03916835; https://clinicaltrials.gov/ct2/show/NCT03916835).
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